JotForm

Town of Carrboro Artist Insurance Application
In order to have your art covered under the Town of Carrboro's insurance policy please provide the personal information and information on your art requested below. At the end you will be asked to attest to the accuracy of this information.
Full Name *

First Name Last Name
E-mail *
Phone Number *

- Area Code Phone Number

Address

Start of exhibit *

- Month - Day Year
End of exhibit *

- Month - Day Year
Document all your art in the exhibition
Below list your art in the following example format:

Mona Lisa, $300

Add the owner's name if not you as follows:

Mona Lisa, $300, John and Jane Doe

If a piece of artwork is removed or switched, it is the responsibility of the artist to complete a new insurance form or notify the Town of Carrboro of this anticipated change prior to any action taken. This will protect your work and confirm proper insurance coverage. If this process is not adhered to the Town of Carrboro will not be liable for the value of the artwork that has been switched or removed.
Enter information here: *
Enter the total value of your art listed above *
You must attest to the accuracy of this information before you can submit this form. *

By clicking this button I attest that the information provided above on the name, price and ownership of my art is correct.
Should be Empty:

Town of Carrboro Artist Insurance Application